Il tuo browser non è aggiornato!

Cardiovascular Surgery Unit 2

Director

Quick Facts

Long and consolidated experience with traditional techniques is now accompanied by mastery of the most innovative methods for the treatment of ischaemic heart disease and its acute complications.

The medical staff consists of 21 surgeons, 14 nurses and a nursing coordinator dedicated to the operating rooms, 7 technicians and a technical coordinator of cardiocirculatory physiopathology and vascular perfusion, 25 ward nurses and a nursing coordinator and 2 secretaries.

In 2014, 737 cardiac procedures were performed, of which more than 46% were for valve disorders.

The Cardiac Surgery Unit uses both traditional techniques and the most advanced techniques currently available for the surgical treatment of adult heart diseases in order to provide each patient with the most suitable surgery for their needs.

Coronary artery surgery

Long and consolidated experience with traditional techniques is now accompanied by mastery of the most innovative methods for the treatment of ischaemic heart disease and its acute complications:

Coronary artery revascularization via sternotomy with the use of extracorporeal circulation (traditional intervention)

Revascularization via left mini-thoracotomy (through a skin incision only a few centimetres long) without the use of extracorporeal circulation (minimally invasive coronary surgery) for the treatment of one- or two-vessel disease

Treatment of acute complications of myocardial infarction: rupture of the interventricular septum, the free wall of the left ventricle, rupture of the papillary muscles

Treatment of chronic complications of ischaemic heart disease: aneurysmectomy and reconstruction of left ventricular geometry, treatment of ischaemic mitral regurgitation.

Valve surgery

Alongside the traditional experience with placement of prosthetic heart valves, the most up-to-date and well-established techniques of valve reconstruction are performed.

Mitral valve

Replacement of the valve with a mechanical or biological prosthesis via a sternotomy with extracorporeal circulation (traditional intervention)

Repair and reconstruction of the valvular apparatus via a sternotomy with extracorporeal circulation using the most advanced techniques (almost all cases of mitral valve insufficiency that are treated)

Repair and reconstruction of the valvular apparatus with extracorporeal circulation and a video-assisted technique via a right mini-thoracotomy (minimally invasive surgery)

Repair and reconstruction of the valvular system with extracorporeal circulation and a video-assisted technique via a mini-sternotomy (minimally invasive surgery)

Aortic valve, aortic outflow region and ascending aorta

Replacement of the valve with a mechanical or biological prosthesis via a sternotomy with extracorporeal circulation (traditional intervention)

Repair and reconstruction of the valve via a sternotomy with extracorporeal circulation using the most advanced techniques

Repair or replacement of the valve through a mini-access (minimally invasive surgery) with extracorporeal circulation

Replacement via sternotomy with extracorporeal circulation using tissue taken from a cadaver (homograft)

Replacement of the ascending aorta via a sternotomy with extracorporeal circulation using a prosthetic conduit or tissue from a cadaver for the treatment of acute (dissection) or chronic (aneurysm) disorders according to the most recent techniques that provide for the preservation of the native valve in selected cases

Replacement of the aortic arch via a sternotomy with extracorporeal circulation using a prosthetic conduit

Tricuspid valve

Replacement of the valve with a mechanical or biological prosthesis via a sternotomy with extracorporeal circulation (traditional intervention)

Surgery for arrhythmias

Daily collaboration with the electrophysiology specialist and the creation of shared diagnostic-therapeutic pathways has allowed the development of well-used procedures and the introduction and progression of innovative lines of surgical treatment:

Repeated interventions (valves, coronary arteries)

The research activity of the Monzino Cardiovascular Area is closely integrated with the clinical activities and focused on the translational aspects of the major cardiovascular pathologies of the adult:

coronary heart disease;

valvular pathologies;

aortic diseases.

The Area also concentrates its research activity in the study of the predictors of the main intra and post-procedural complications.

Thanks to its exclusive cardiovascular vocation, Monzino is able to allocate important human and structural resources to translational clinical research in the surgical field.